60 yr old COPD pt. came with dyspnea. BP 120/80, P-90 bpm. x Ray showing pneumothorax with a 2.5cm rim of air and no mediastinal shift.
What’s the most appropriate management.
A) ICD insertion
B) discharge
C) admit n repeat x Ray after 48 he’s
D) immediate 14G cannula insertion in 2nd intercostal space
E) Aspiration.